Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHALVA ELIAVA, MD
Deactivated Sole ProprietorSHALVA ELIAVA, MD is a Internal Medicine healthcare provider located in ENGLEWOOD, New Jersey. NPI 1417696345 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · ENGLEWOOD, NJ
This NPI has been deactivated.
The record was deactivated on February 27, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417696345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2022 (0.74520547945205 yrs)
- Last Updated
- Jun 20, 2025
- Deactivated
- Feb 27, 2023
- License
-
25MA12618900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
350 ENGLE STREET, DEPARTMENT OF MEDICINEENGLEWOOD, NJ, 07631Browse NJ providers · Browse ZIP 07631
- Phone
- 2018943143
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in ENGLEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| STEVEN J WEISHOLTZ | MD | 1053318964 |
| JEFFREY KOCHER | MD | 1053319202 |
| RUSSELL GURA | MD | 1962400119 |
| MANUEL KATZ | MD | 1376541359 |
| JONATHAN A SHAPIRO | MD | 1790784163 |
| DR. ROBIN MOTZ | M.D. | 1073513602 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.